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10/14/2019

Dr. Carol Rivers' Written Board Prep Materials

Dr. Rivers' Critical Q&A Pop Quiz

For more quiz questions and board review updates, follow @RiversEMReview on Twitter and @OhioACEP on Instagram!

Q: What is the appropriate initial study in a patient with headache, lethargy, nuchal rigidity and papilledema?

A: Computed tomography (CT) of the head should be done initially to exclude the presence of mass lesions prior to lumbar puncture.

The important consideration here is subarachnoid hemorrhage, secondary to a ruptured aneurysm. If meningitis is a possibility, administration of antibiotics should not be delayed.


Dr. Carol Rivers’ Written Board Review Textbooks have been trusted by EM physicians for 20+ years.

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